Homestead_Martin (5)..f•���•4 CLAIM FOR HOMESTEAD FROPERTY TAX . � FoRM YEAR
d �.
;� y� `, CREDIT/STANDi4RD DEDUCTION � Hc�o Cjd
.' State Form 5473 (R2/1-90) •
�'°�• ` INSTRUCTIONS: See reverse side for filing instructions. �
. . . pp$ -Q I 083
CERTIFICATION STATEMENT - "
I(We) � �� `YY\ rt�fy th�at onCJthe ts�t day of March , 19 n(a
.--�We)
is hereby claimed: 'L�((We) owned �0 Are buying under contract .
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract. . ,
CONTRACT RECORDED
on contract. Fee Simple Owner's Name ,
Recorder's office where contract
PROPERTY
��0�0�3-0�01 `.�~���'CU��vt� `1- 3°la
If any portion of the residential structure or,the land not exceeding one (1) acre that irr
ture is used to produce income describe the use and portion of the property utilized to
-DD/. QX3-Q�
PROPERTY OWNED BY CLAIMANT IN
township) .
ASSESSOR USE ONLY
TRUE TAX VALUE - ASSESSED VAIUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately --
� surrounding residential improvements (�)
Other land (2)
Total �and - line (1) plus line (2) (3)
Residential improvements Dwelling (4) . . .
Garage (5)
Other improvements (6)
Total improvements - line (4) ihrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 1991 1991 Pay 1992 19 — Pay 19 _
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homesiead
Valuation or $2,500 Valuation or $2,000 Valuation or $1,500 Valuation or �7,500
of Auditor Date
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